Individual
DOROTHY KIRBY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2055 HERSCHEL ST, UNIT 4, JACKSONVILLE, FL 32204-3877
(904) 318-6111
Mailing address
2055 HERSCHEL ST, UNIT 4, JACKSONVILLE, FL 32204-3877
(904) 318-6111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11006
FL
Other
Enumeration date
08/22/2012
Last updated
08/30/2012
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